title: Efficacy of arthroscopic lysis and lavage in patients with temporomandibular joint symptoms associated with generalized osteoarthritis or rheumatoid arthritis.
abstract: OBJECTIVE
  This study evaluated the efficacy of arthroscopic lysis and lavage in patients with temporomandibular joint (TMJ) symptoms and generalized osteoarthritis (GOA) or rheumatoid arthritis (RA).
  
  
  METHODS
  Twenty-three GOA patients and 23 RA patients were evaluated after 1 year.
  
  
  RESULTS
  Seventeen of 23 patients (74%) in the RA group improved after arthroscopic lysis and lavages compared with 10 of 23 (43%) of the GOA patients. Lateral joint tenderness, crepitation, maximal opening, and maximal protrusion showed most improvement in the RA group.
  
  
  CONCLUSIONS
  On the basis of this short-term follow-up study, arthroscopic lysis and lavage seem to provide an effective treatment for TMJ pain and dysfunction in RA patients but not in GOA patients.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Huddinge University Hospital, Karolinska Institute, Sweden.
authors.forename: G W
authors.initials: GW
authors.lastname: Gynther
authors.forename: A B
authors.initials: AB
authors.lastname: Holmlund
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001182:Arthroscopy; D004724:Endoscopy / Q000379:methods*; D005157:Facial Pain / Q000601:surgery; D005260:Female; D005355:Fibrosis / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D019152:Paracentesis / Q000379:methods; D011446:Prospective Studies; D016059:Range of Motion, Articular; D018709:Statistics, Nonparametric; D013585:Synovitis / Q000473:pathology / Q000601:surgery; D019224:Temporomandibular Joint Disc / Q000473:pathology / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000473:pathology / Q000601:surgery*; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome